HomeMy WebLinkAboutPermit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 30th 2020 Permit Number:
I J -
•
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT TYPE: Reroof
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential x
Address: 99 S Las Olas Drive Jensen Beach Florida 34990
Property Tax ID #: 4511-500-0036-000-7
Site Plan Name:
Project Name: Walter Reroof
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: I
Remove existing roofing system and install new shingle roofing system
Ow6nS Corv6^1 Shim3l0-1 FLIOWT4) Tri &I11� Sand (F I&o46. 1)
+OyHKI &11 Vey+7-8417.2-)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank — Gas Piping — Shutters
_ Electric _ Plumbing
Total Sq. Ft of Construction: 1300
Cost of Construction: $ 7000.00
_ Sprinklers _ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Windows/Doors
c7 -Roof 3 ! 2 Pitch
Building Height: 10
OWNER/LESSEE:
CONTRACTOR:
NameJane C Walter
Name: Dee Keihn
Address: 99 S Las Olas Drive
Company:Pdk Roofing Inc
City: Jensen Beach State: _
Zip Code: 34990 Fax:
Phone No. 7729192978
Address: 1299 Sw Biltmore Street
City: Port St Lucie State: FL
Zip Code: 34983 Fax:
Phone N0771-528-0113
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail pdkroofing.inc@gmail.com
State or County Licenseccc1331408
it value or construction is,525v0 or more, a RECORDED (Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name;
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City;
City:
Zip: Phone:
Zip; Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc
sso cation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply,
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEEMMJENT
PT,ST41�11) ON THE H (WR ENDER,$AAlyl'ATRE T09N Y B FIRST INSPECTIO ORE RECORDING I YOU0ICE 4 CO;A E
RESULT IN YOUR PAYING
NVIST BERREE NO
ki CING, CONSULT
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ti
n ure of Owner/ Le s e/Contractor Ag t for Owner
ign re of Contrac r/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF L.t-kct_ e-
COUNTY OF Q�_
The orgoing instrurpent.was acknowledged before me
The forgoing instrurrient was acknowledged before me
this day of ft ll, 2Q,-)Ct by
this day of , 2fl0�) by
Name of person making statement.
Name of person making statement.
Personally Known �,�OR Produced Identification
Personally Known �—OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signa re of Notary Public- Staof Flo ' a)
(Signatu e of Notary Public- Stat of FQMaj
Commission No.
ALE? AGUIRRE
ER IRRE
Commission No. i+ii1 CCI�GG234811
R MY COkt1KWION # GG 234811
o EXPIRES;: July 4, 2022
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REVIEWS
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PLANS
VEGETA I N SEA TURTLE MANGROVE
COLTER REVIEW REVIEW
REVIEW
REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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